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Contact Information

GRACE M WENZEL, MD
145 HOSPITAL AVE STE 113
DUBOIS, PA15801
 Phone: 814-375-3722
 Fax: 814-375-3086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GRACE M WENZEL · (Female)

NPI Number 1467640524
Status Active
Credentials MD
Entity Individual
Enumeration date 10/12/2007
Last updated 10/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 30487
  • PA License # MD467098
  • PA Medicaid 103629311
  • PA Other 808302 PTAN
Hospital affiliation(s)
  • BROOKVILLE HOSPITAL - (Critical Access)
    100 HOSPITAL ROAD
    BROOKVILLE, PA 15825
  • DUBOIS REGIONAL MEDICAL CENTER - (Acute Care)
    100 HOSPITAL AVENUE
    DUBOIS, PA 15801
  • PUNXSUTAWNEY AREA HOSPITAL - (Acute Care)
    81 HILLCREST DRIVE
    PUNXSUTAWNEY, PA 15767
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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